Organization Active NPI

Town Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Richmond Hill, NY
National Provider Identifier
1932643178
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOWN SUPPLY, INC
Practice address
10221 Jamaica Ave
Richmond Hill, NY 11418-2000
Phone
(347) 561-4803
Fax
(347) 392-4710
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olga Izrayev
Title
President
Phone
(347) 561-4803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10221 Jamaica Ave
Richmond Hill, NY 11418-2000

Mailing address

10221 Jamaica Ave
Richmond Hill, NY 11418-2000
Phone (347) 561-4803

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1932643178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182000",
            "telephone_number": "347-561-4803",
            "fax_number": "347-392-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182000",
            "telephone_number": "347-561-4803",
            "fax_number": "347-392-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "IZRAYEV",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-561-4803"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.